About

A Global Mission

The Dartmouth Center for Health Care Delivery Science draws upon unique resources from across disciplines, forming innovative global partnerships that bring the discipline of science to the questions of service delivery while building a deeper understanding of the personal dimension of health and health care.

In countries around the globe, health care systems are failing. The demands of aging populations and increasing chronic illnesses are rising faster than the capacity to respond to them. The delivery of health care is often inequitable and fragmented, prohibitively expensive, focused less on prevention and more on care and treatment, and disproportionately more on late-stage disease. Sound, evidence-based clinical and managerial practices are conspicuously absent. The mismatch of supply and demand is stark: While more than a billion people lack access to basic health care services, excess capacity and the overuse of procedures elsewhere result in unnecessary care, medical errors, and waste. Yet resistance to change is profound.

Good health care decision-making is complex because outcomes are uncertain, and because stakeholders hold different opinions about the relative value of those outcomes. They assess differently the issues of risk, expense, quality-of-life, and dignity of death. The goals of The Dartmouth Center for Health Care Delivery Science are to bring understanding to the uncertainty and to clarify and reduce the differences of opinion. Our mission is to improve health care by lowering costs, increasing access, and improving outcomes as measured by the stakeholders who matter most: the patients and communities who live with the consequences.